Acute Angle Closure Glaucoma


EMERGENT OPTHO REFERRAL
 

Background

Pathophysiology

Diagnosis

 

ED MANAGEMENT

  1. All cases require immediate Ophthalmologic consultation: Argon laser peripheral iridoplasty (ALPI) or anterior chamber paracentesis may be first-line treatment.
     
  2. Immediate Tx necessary
  3. 3 ways to reduce pressure
  4. Recheck IOP's hourly
     
  5. Simultaneous to the Optho consult Attempt to decrease IOP
     
  6. Nausea/Vomiting:
  7. Pain

Disposition

  1. STAT Ophthalmology consult
  2. As per ophthalmology recommendation
  3. Definitive therapy is surgical